| NPI | 1821684499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY FOSTER Partner 406-442-0288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2020-12-17 |